Occupational Therapy: Promoting Independence and Well-being
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This assignment explores the role and importance of occupational therapy in promoting independence and well-being. It discusses the evaluation process, intervention methods, and the unique contributions of occupational therapists. Occupational therapy helps individuals of all ages engage in daily activities and live fulfilling lives.
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Running head: OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY Name of the student: Name of the university: Author note:
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1 OCCUPATIONAL THERAPY Occupational therapy treatment is mainly found to focus on helping people who have sensory, physical as well as cognitive disability to have as much independence as possible in all domains of their lives (Karp 2018). Occupational therapy professionals helps people of all ages to live to the fullest by promoting their health as well as preventing various vulnerable disorders and living better with illness, injuries as well as disability. Occupational therapy practitioners are seen to have a holistic perspective where they focus mainly on adapting the environment and the tasks that fit the person. It can be described as evidence based practice that can be deeply rooted in the field of science. This assignment will explore various aspects of occupational therapy in details and will try to shed more light on its contribution in the present day healthcare system. Occupational therapists help people of all ages in participating in every activity they want and need to, through the therapeutic use of the everyday activities. Unlike that of the other professions, occupational therapists help people in functioning in all of their environments like that of home, work, school as well as community. They are seen to address not only the physical but also the psychological and cognitive aspects of their well-being through engagement in the occupations (Tavemark et al. 2019). They are seen to work in several of settings where they have they exhibit their own distinct roles. Firstly, occupational therapists are seen to work with teachers as well as children in the classrooms to help the latter in developing skills like that of handwriting, computer use and also provide strategies to teachers to manage the behaviors of the children. Secondly, occupational therapists are seen to work with the patients who are admitted in the hospitals after a stroke or an injury. Here, they are seen to fulfill the role of assessing and treating the cognitive impairment like the problems which affect their
2 OCCUPATIONAL THERAPY ability to think, remember as well as communicate in helping patients to recover from issues related to their conditions. Third, they are also seen to work with clients suffering from mental ailments in the outpatient programs. They help in assisting people living with schizophrenia or that of the bipolar disorders and help in managing their conditions so that they can live independently at home in their own community. Fourth, they fulfill their roles with clients who had faced workplace or motor vehicle injuries and help in determining what the client might need in future in order to perform their daily activities (Armitageetal.2017).Fifth,theyarealsoseentoworkwithclientswhohave experienced a change in their mental as well as physical abilities or help them to return to their work by helping them to adapt to the ways by which they do their jobs, what type of jobs they do or making proper changes in the workplace environment.They help the clients in identifying and purchasing equipments like that of wheelchairs or bathroom safety devicesto ensure that clients can return safely or remain at home although that theirphysical abilities have changedas a result of a condition such as multiple sclerosis or arthritis. Occupational therapists should have the skill for analyzing occupations and utilizing them in their own therapies. This skill of analyzing and prescribing of the occupationshavetwoimportantpurposeslikedealingwithproblemsthatare experienced by service users in every aspect of their daily activities (being classified as work,leisureandself-care)andtheotheristheuseofoccupationsasspecific therapeutic interventions for addressing the occupational performance difficulties and assisting in development of positive occupational identity (Taylor 2016). They should have the skill in analyzing the abilities and skills of a person that influence the ability in
3 OCCUPATIONAL THERAPY engaging in activities. Besides, they should also have the skill of understanding bio- psychosocialrelationshipsthatareseentoexitbetweenthebodyfunctionsand structures, activities, environmental factors, participation and quality of life. The second important skill is environmental analysis and its adaptation. They need to recognize the different physical as well as social environments that might have important beneficial or that of detrimental effects on the service users. With the help of environmental analysis, they would be able to provide information for the behaviors or the ideas and even suggestions to the clients for therapeutic adaptation. Thirds, they would also need to have efficient communication and listening skills as they need to ensure holistic well- being of the person and not only overcoming disabilities. They need to have proper interpersonal skills by which they would be able to listen to their patients, and also explain to them the ways they feel or what their symptoms are. Accurate listening helps in communicating effectively along with reflecting back on what the patient has told. They need to spend most time with their patients or teaching them about procedures, exercises and therapies (Hyett et al. 2016). Unless a strong therapeutic relationship and close rapport are developed with patients, the latter would not feel comfortable in working. So communication and listening skills are must. Fourth, they would need to have organization as well as problem solving skills. The problems might be major as to helping patients climb stairs or may be minor like buttoning a shirt and others. They need to ensure that they have strong organizational skills and problem solving skills where they can organize the needs of the patients as per the priorities and solve each of the problems with expertise. Fifth skill is the exhibition of empathy and compassion in ensuring compassionate care (Elf et al. 2017). Often in cases, a patient who has
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4 OCCUPATIONAL THERAPY suffered an injury or that of the loss might be grieving for the lot set of skills or the life activities that he or she used to enjoy.Occupational therapists need to have the skills of recognizing the emotions in that of the service users and give them emotional support so that they can help the patients in overcoming their sadness and find new jobs in life. Sixth, they need to have team working skills. Often they require working in rehabilitation teams, in schools with teachers and many others to attend to needs of clients. Without team working skills, they would fail in providing best care according to needs of the patients (Desiron et al. 2015). Occupational therapy is a profession which mainly includes promoting the health as well as well-being of the persons through that of occupations to help them with their activities of their everyday lives. It helps in enabling people in participating in the occupations which give them meaning as well as purpose of their lives. Physical therapy mainly helps in focusing on the patient in their functional restoration as well as for the acquisition of the gross motor skills important for functional mobility (Sims et al. 2015). The latter may not look into the concerns of minute activities important for activities of daily living like cooking, bathing, making beds and others. Physical therapists only remains concerned with patients developing activities of large muscles. An example can beusedin order to helpunderstandingthe actionof different professionals ina particular care episode. Let an individual be considered who has faced a hand crush injury who would face problems like mal alignment of bone and pain and failing to carry on every day activities (Moyo et al. 2016). In such situation, the role of the doctor would be helping in putting back the bone in place along with responsible for the surgery and also in treatment of the pain with medication and other complications. In such situation,
5 OCCUPATIONAL THERAPY the nurse would be helping in the daily care of the patient like giving medication, looking after the recovery, changing his plasters, noting down his vital signs, educating him about medications and others. The physiotherapist would be joining the team after the few days when the patient is recovering from the fracture where he would be treating the chronic pain with the help of different interventions like various heat and cold physical modalities (Wilson et al. 2016). He would be introducing exercise sessions like strengthening exercises so that he can develop the conditions of the weak muscles so that the muscles can start functioning properly like before the accident. Here, the job of the occupational therapist is the most unique where he would be applying interventions to help the patient come back to normal life and functioning which were not the aim of the other professionals. The expert would be retraining the client in working with the everyday activities that includes his vocation which he lost due to his crush injury. He would be helping the client in conducting the activities of daily life so that he can become fit and regain the independence which he had lost after the accident. He also would focus on the psychological aspect of the client to regain the confidence of conducting everyday activities that he had lost after the accident. Threeimportantcomponentscanbeidentifiedintheoccupationaltherapy process. The first component is called the evaluation process. The main purpose of the evaluation is twofold. It helps in finding out what the client wants and needs and the other is to successfully identify the different factors that support or that hinders the occupational performance (Drolet e al. 2016). In this step, the therapist is seen to base itsevaluationprocessontheage,education,diagnosis,culturalbackground, developmental level, socioeconomic status, and functional abilities of the clients. These
6 OCCUPATIONAL THERAPY aredonethroughreferrals,occupationalprofiledevelopmentoftheclientsand OccupationalPerformanceAnalysis. During thesecondcomponentprocess called screening,theoccupationaltherapistis seentodevelopandalsodeterminethat whether any further evaluation and occupational therapy interventions are warranted or not. The screening session is mainly seen to be comprising of typically involving a review of the records of the client along with the brief screening test that is conducted (Pendleton et al. 2017).It also includes interviewing the client as well as the caregiver, observation of the client and also discussion of the client with the referral sources. The next step is called the intervention process. The aim of this component is to enable the persons with a disability in functioning more independently in her or his environment. Thismainlyisseentorequireproblemsolvingmethodsforimprovementofthe occupational performance. The main subcomponents of this step are the identification of the problems, then developing a solution and then implementing the plan of action. The implementation of the plan of action for the client requires creating or promoting a plan like that of promoting the handwriting of school children. It can be also establishing or restoring like helping an old man to develop the strength to a lost use of the right side after cerebro-vascular accident. It can be also maintaining like planning with a client who is aged and lives alone to maintain her daily activities to stay at home without any risks. It may be also modifying like helping a 35 year old cerebral palsy patient to get adapted to use the feeding equipment so that she can feed herself. They can also help in preventing like helping in proper lifting techniques to a group of blanket factory to learn proper techniques for preventing any injuries. These are all forms of intervention processes (Cordier et al. 2016).
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7 OCCUPATIONAL THERAPY The occupational therapy guides the professionals in a systematic way to ensure that they analyze andunderstandalltheneeds of thepatientthroughscreening sessions and evaluation, and provide them with care that satisfy them and help them live better quality lives. The process helps in individualized evaluation during which the client or the family and the occupational therapists determine the goals of the person (Van de Velde et al. 2016). This is then followed by implementation of the customized intervention for improving the ability of the person for performing the daily activities as well as to reach the goals. This is then followed by an outcome evaluation process to ensurethatthegoalsarebeingmetandthataccordinglycausechangeinthe intervention plan (Lin et al. 2016). From the above discussion, it can be understood that the role of occupation therapists quite unique in that they help people of all ages in fully engaging in their daily livesfrom their work as well as recreation for the different activities of daily living like that of getting dressed, cooking as well as eating and driving to other activities. They aremainlyseentoincludecomprehensiveevaluationofthehomesandother environments of clients and accordingly set up plans of actions to help the patients live independentandsuccessfullives.Theyproviderecommendationsforadaptive equipmentandtraininginitsuse.Theyarealsoseentoprovideguidanceand education for daily members and caregivers. Their roles are quite different from doctors, physiotherapies and other professionals and mainly follow a holistic perspective by focusingonadaptationofenvironmenttosuitpatientneeds,developingtheir psychological stability and helping in gaining confidence and self esteem and making thecomebacktonormallifethroughgainingindependence.Theyfollowthe
8 OCCUPATIONAL THERAPY components of screening, evaluation and intervention implementation to ensure that they can provide best service and helping people to come back to normal lives.
10 OCCUPATIONAL THERAPY Lin, M., Chin, K.S., Wang, X. and Tsui, K.L., 2016. The therapist assignment problem in home healthcare structures.Expert Systems with Applications,62, pp.44-62. Lin, M., Chin, K.S., Wang, X. and Tsui, K.L., 2016. The therapist assignment problem in home healthcare structures.Expert Systems with Applications,62, pp.44-62. Moyo, M., Goodyear-Smith, F.A., Weller, J., Robb, G. and Shulruf, B., 2016. Healthcare practitioners’personalandprofessionalvalues.AdvancesinHealthSciences Education,21(2), pp.257-286. Pendleton, H.M. and Schultz-Krohn, W., 2017.Pedretti's occupational therapy: practice skills for physical dysfunction. Elsevier Health Sciences. Sims,S.,Hewitt,G.andHarris,R.,2015.Evidenceofcollaboration,poolingof resources, learning and role blurring in interprofessional healthcare teams: a realist synthesis.Journal of Interprofessional care,29(1), pp.20-25. Tavemark, S., Hermansson, L.N. and Blomberg, K., 2019. Enabling activity in palliative care: focus groups among occupational therapists.BMC palliative care,18(1), p.17. Taylor, L. ed., 2016.How to develop your healthcare career: A guide to employability and professional development. John Wiley & Sons. Van de Velde, D., Eijkelkamp, A., Peersman, W. and De Vriendt, P., 2016. How competent are healthcare professionals in working according to a bio-psycho-social model in healthcare? The current status and validation of a scale.PloS one,11(10), p.e0164018.
11 OCCUPATIONAL THERAPY Wilson,C.,Bungay,H.,Munn-Giddings,C.andBoyce,M.,2016.Healthcare professionals’ perceptions of the value and impact of the arts in healthcare settings: A critical review of the literature.International journal of nursing studies,56, pp.90-101.